Do I have to provide my Social Security Number?

The Privacy Act of 1974 requires the following information be provided when individuals are requested to disclose their social security numbers:

Disclosure of the social security number is voluntary and it is requested for identification purposes.

Failure to disclose this information will not affect participation in this program.

You have the right to file a written complaint if you believe that you or members of your household have been discriminated against by reason of race, color, religion, sex, national origin, age, political beliefs, handicap, or status with respect to marriage or public assistance.

A written complaint may be filed in the following ways:

with your local human service zone office

by mail: ND Health and Human Services office for Civil Rights, Legal Advisory Unit 600 E. Boulevard Ave., Dept 325 Bismarck, ND 58505-0250.

by phone: (701) 328-2311 or 711 (TTY)

by fax: (701) 328-2173

by email: dhslau@nd.gov

by contacting the U.S. Department of Health & Human Services: U.S. Department of Health & Human Services; Office for Civil Rights 200 Independence Ave. SW, HHH Building, Room 509-F Washington, DC 20201 (800) 368-1019 or TDD (800) 537-7697 fax (202) 619-3437